Redwood Pediatric Medical Group
NPI 1164574083 · Specialist · Fortuna, CA
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Redwood Pediatric Medical Group is a Specialist organization in Fortuna, CA (NPI 1164574083).
Provider details
- NPI number
- 1164574083
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Shalamar Ivey, Billing Manager(707) 725-9355
- License
- G082256 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2020-08-22
Frequently asked questions
- What is Redwood Pediatric Medical Group's NPI number?
- Redwood Pediatric Medical Group's National Provider Identifier (NPI) is 1164574083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Redwood Pediatric Medical Group?
- Redwood Pediatric Medical Group is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Redwood Pediatric Medical Group located?
- Redwood Pediatric Medical Group's practice location on file with NPPES is 3305 Renner Dr, Fortuna, CA 95540-3119.
- What is Redwood Pediatric Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Redwood Pediatric Medical Group is (707) 725-9355.
- Does Redwood Pediatric Medical Group accept Medicare?
- Redwood Pediatric Medical Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Redwood Pediatric Medical Group?
- The authorized official listed on Redwood Pediatric Medical Group's NPPES record is Shalamar Ivey, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Redwood Pediatric Medical Group's NPI active?
- Yes — Redwood Pediatric Medical Group's NPI (1164574083) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.